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Showing results for "clinical judgment".

  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
    June 01, 2021 - Instead, we use clinical signs and symptoms to decide if we should worry about the possibility of a UTI … a plan to observe her overnight and alert the daytime staff and practitioners of any changes in her clinical … If a resident is only showing nonspecific signs, like a change in mental status, clinical staff need … send a resident’s urine culture— · If the urine is foul-smelling or cloudy without other concerning clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment
  2. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
    September 01, 2019 - and health services judgment of these participants guided the process. … The CAPQuaM team made the clinical judgment that it was more true to the intention of the panel to accept … decision was affirmed when upon their review of our specifications, no panel member questioned that judgment … We carefully operationalized the panel’s clinical recommendations by fine tuning AHRQ’s Clinical Classification … Our judgment was confirmed after CAPQuaM consulted with Gary Hart, Director of the Center for Rural
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
    March 01, 2009 - This report is intended as a reference and not as a substitute for clinical judgment. … Clinical Outcomes Clinical outcomes can be perceived by a study subject, and their improvement (or … “Fatigue” would be the corresponding clinical outcome. … However, to operationalize this in reviewing studies, it is necessary to make judgments about what health … Judgments need to be made about how reliably surrogate outcomes or disease markers predict clinical
  4. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
    October 01, 2017 - includes accurate, evidence-based, and effective risk assessments that call for: Critical thinking and clinicaljudgment—not just memorizing how to conduct assessments.
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
    January 01, 2009 - This report is intended as a reference and not as a substitute for clinical judgment. … , expert panels) must combine the results of a systematic review with other information and expert judgment … to formulate clinical or public health policies. … by other sources of information and where uncertainties exist, by application of expert scientific judgment … American Journal of Clinical Nutrition 2007;85(6):1448-56. 10.
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
    October 01, 2019 - and health services judgments guided the process. … trial of 24/7 in house physician coverage of OB, the accumulated evidence supports our expert panel’s judgment … The CAPQuaM team made the clinical judgment that it was more true to the intention of the panel to accept … 19 affirmed when upon their review of our specifications, no panel member questioned that judgment … Our judgment was confirmed after CAPQuaM consulted with Gary Hart, Director of the Center for Rural
  7. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - based on unit preferences, best practices, or emerging clinical evidence. … Clinical maneuvers and directed maternal pushing . … As each clinical maneuver is attempted. … Appropriate clinical interventions. … The L&D team should use its clinical judgment and evidence-based practices to determine the order of
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
    May 01, 2018 - and health services judgment of these team members guided the process. … The CAPQuaM team made the clinical judgment that it was more true to the intention of the panel to accept … decision was affirmed when upon their review of our specifications, no panel member questioned that judgment … We carefully operationalized the panel’s clinical recommendations by fine tuning AHRQ’s Clinical Classification … Our judgment was confirmed after CAPQuaM consulted with Gary Hart, Director of the Center for Rural
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - performed in accordance with standards of care) and nosocomial infections  Human error, including judgment … o Clinical anastomotic leakage should not exceed 5% (grade B). … moderate (3%-7%), and high (at least 5%-10% or greater) categories, which may be useful on a practical clinical
  10. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
    November 01, 2019 - Discuss opportunities for de-escalation of antibiotic therapy for UTIs after additional clinical data … Duration of therapy is based on the clinical response of the patient and the timing of relief of the … Antibiotic Use – Acute Care Take-Home Messages Send urine cultures only when you suspect UTI based on clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgmentClinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
    April 01, 2025 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
    June 01, 2021 - · The relationship among the clinical staff can influence how people communicate concerns about a … Slide 15 Clinical Case SAY: On Saturday, a nurse aide noted that a 76-year-old woman in the facility … Slide 16 Clinical Case, Continued SAY: Two months later, the same resident developed fevers, dysuria … Second, the nurse who received the urine culture results could have helped provide some clinical context … described in this presentation must be applied by health care practitioners in accordance with professional judgment
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
    November 01, 2019 - Optimally, the ASP works with clinical champions with whom it collaborates on development of guidelines … Clinical champions may also be able to assist with management of outlier prescribers in their group … IT can assist with collating antimicrobial, microbiology, and clinical data from several sources. … found in the narrated presentation, “How Can Your Antibiotic Stewardship Program Collaborate With the Clinical … in this presentation must be applied by health care practitioners in accordance with professional judgment
  14. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
    January 05, 2022 - Slide 5 Slide 6 Effective Diagnostic Teams Need Cohesive Clinical and Administrative Leadership … Examples of “status quo” thinking related to diagnosis might be: • Judgment and certainty = Diagnosis … Leaders • Point of Care Diagnostic Team Members ‒ Ambulatory Care Staff ‒ Clinical Consultants/ … Individuals often attain leadership positions based on experiential knowledge and clinical expertise … Clinical or operations staff? Or both? 3. Who should attend?
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - wrong-patient medication errors) were modeled because they occur frequently and/or have potentially serious clinical … Variations identified by the groups required judgment calls by the modeling team (group members and … Variation and subsequent judgment calls regarding what should be modeled are common in aviation and … variances are addressed during model building requires good process and control- system modeling, judgment
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
    April 01, 2025 - “Please describe how you think the next patient in your clinical area will be harmed.” 2. … This tool should be distributed to all staff who work in your clinical areas—including the surgical clinic … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - suffers significant medical complications that may have resulted from the physician’s mistake or judgment … reported that they would always disclose a death or serious injury, but when presented with actual clinical … morality, ought never to receive the sanction of a court of justice or be made the foundation of its judgment … may be relatively inexpensive because it allows avoidance of lawsuit preparation, litigation, court judgments
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - Clinical decision support systems (DSS), identified by the Institute of Medicine (IOM) as an important … decision support systems may undergo predeployment testing prior to introduction into the clinical … Miller and Gardner recognized the need for post-fielding surveillance of clinical software systems.9 … judgment to decisionmaking. … Recommendations for responsible monitoring and regulation of clinical software systems.
  19. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
    November 01, 2019 - They also increase the likelihood that these organisms will lead to clinical infections. … Case SAY: Let’s review the clinical case of a 50-year-old man with cerebral palsy and a known … Clinical Case 2 SAY: Let’s discuss another case. … Slide 18 Clinical Case 2, Continued SAY: The patient completes the antibiotic course. … in this presentation must be applied by health care practitioners in accordance with professional judgment
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
    June 16, 2017 - includes accurate, evidence-based, and effective risk assessments that call for: Critical thinking and clinicaljudgment—not just memorizing how to conduct assessments.

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